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Manufactured Home Insurance Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name
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Last Name
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Street
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City
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State
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ZIP / Postal Code
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E-Mail Address
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Primary Phone Number
Required
Alternate Phone Number
Optional
Date of Birth
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/ /
Social Security Number (please include if possible)
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Current Information
Do you currently have insurance?
Required
Current Premium
Optional
Current Dwelling Limit
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Current Liability Limit
Optional
Current Insurance Provider
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Months With Company
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Current Policy End Date
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/ /
Dwelling Information
Manufacturer
Optional
Year Manufactured
Optional
Do you own the land?
Optional
Is home occupied?
Optional
Number of families living in home
Required
Date of Original Purchase
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/ /
Purchase price
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Desired Dwelling Amount
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Liability Limit Desired
Required
Deductible Amount Desired
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Is home on permanent foundation?
Optional
Roof Type
Required
Type of siding
Optional
What type of skirting?
Required
Slab, block, or pier?
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Tie downs
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Have there been any updates to the heating/plumbing/roofing/wiring in the last 20 years?
Optional
Construction Type
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Escrow?
Required
Mortgage?
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Square Footage
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Number of bedrooms?
Optional
Does the home have a basement?
Required
Is there a garage? (If so, list how many cars)
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Detached structures? (Please specify)
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Porches? (List if open/enclosed and square feet)
Required
How many bathrooms? (Specify full or half)
Required
Estimated Value
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Dogs
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Pool
Required
Trampoline
Required
Type of heating
Required
Are there any wood stoves in the house?
Required
Are there any smokers in the house?
Required
Claims/Property Losses in Past 5 Years (Please Explain)
Optional
How did you hear about us?
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Additional Notes
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Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
   

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219 South Catherine Street | Montour Falls, NY 14865
Toll Free: 888-847-4353 | Local: 607-535-6501
| E: info@sidleinsurance.com

                                   
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